KIMBERLY MATTA PA-C
NPI 1407949985
Physician Assistant in Houston, TX

Active since October 02, 2006Opted out of Medicare · through Jul 1, 2027
18400 KATY FWY, SUITE 530, HOUSTON, TX 77094(281) 717-4003(281) 206-7597 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Matta Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MATTA PA-C (NPI 1407949985) is an individual physician assistant in Houston, Texas, licensed in Texas (PA8479) and active in the NPI registry since October 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407949985
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY MATTACredential: PA-C
Location Address18400 KATY FWY, SUITE 530Houston, TX 77094-1286
Mailing Address929 Gessner Rd Ste 2200Houston, TX 77024-2583 · (713) 337-5277
Fax(281) 206-7597
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJanuary 18, 2019
NPI 1407949985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TX · PA8479 Licensed in CO · 2204 Licensed in TX · PA08479
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
18400 KATY FWY, Houston, TX 77094

Other Names 1

Former Name (1)Kimberly Brey Pa-c

Other Identifiers 1

Medicaid322814001TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kimberly Matta Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
18400 KATY FWY, STE 480
HOUSTON, TX 77094
Family Medicine (Adult Medicine)
18400 KATY FWY, SUITE 405
HOUSTON, TX 77094
Surgery (Vascular Surgery)
18400 KATY FWY, MEDICAL OFFICE BLDG, SUITE 640
HOUSTON, TX 77094
Audiologist
18400 KATY FWY, STE 470
HOUSTON, TX 77094
Physician Assistant
18400 KATY FWY, SUITE 690
HOUSTON, TX 77094
Otolaryngology
18400 KATY FWY
HOUSTON, TX 77094
Colon & Rectal Surgery
18400 KATY FWY, SUITE 560
HOUSTON, TX 77094
Obstetrics & Gynecology
18400 KATY FWY, SUITE 400
HOUSTON, TX 77094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Matta's NPI number?

The NPI number for Kimberly Matta is 1407949985. It was assigned to this individual provider in the NPPES registry on October 2, 2006. The provider is also known as Kimberly Brey Pa-C.

Where is Kimberly Matta located?

Kimberly Matta practices at 18400 Katy Fwy Suite 530, Houston, TX 77094. The listed phone number is (281) 717-4003.

What is Kimberly Matta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Matta enrolled in Medicare?

No. Kimberly Matta has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kimberly Matta was last updated on January 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.